| NPI | 1013395615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD Sr VP Of Administrative Services 337-408-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2025-01-17 |